Ala. Admin. Code r. 580-2-17-.09

Current through Register Vol. 43, No. 1, October 31, 2024

Section 580-2-17-.09 - Dispensing

(1) Prescriptions: No drug will be furnished to a client unless a legal prescription is available. Prescriptions must be filed in accordance with the requirements under Records.

(2) Records:

(a) All prescriptions on file, invoices, and records for controlled substances must be maintained for two years in order to comply with state and federal laws.

(b) Prescriptions for Schedule II items must be kept in a separate file.

(c) All prescriptions for other controlled items other than Schedule II items may be kept in a separate file or in the regular file with a red "C" stamped on the bottom right face of each prescription.

(d) Medications must be recorded in the Client Record on the Medication Chart shown in Part III.

(3) Other Requirements:

(a) Reasonable proof of eligibility for the drug program must be established before filling prescriptions. Exception: One-time only for prescriptions from a state institution, crisis stabilization program or for a documented emergency.

(b) Supply will be limited to five refills, or six months, whichever occurs first, unless the prescribing physician indicates more stringent directions.

(c) Safety closure vials will be used for all prescription drugs in oral dosage form.

(d) Appropriate "warning labels" will be used with all medications as determined by the pharmacist.

(e) The quantity issued will not exceed a thirty day supply.

(f) Refills are not permitted unless indicated by the prescribing physician.

(g) Prescriptions for controlled drugs (Ritalin, Phenobarbital, Librium, Valium, etc.) must show the prescriber's DEA number and full address of the patient. These prescriptions must be initialed by the person filling the prescription. Each refilling of a prescription must be entered on the back of the prescription or on another appropriate document and be initialed by the person filling the prescription.

(h) Schedule II items are not to be refilled under any circumstances.

(i) Prescriptions filled in advance for clients and/or prescriptions filled and not called for must be kept in a secure (locked) place. Access to these prescriptions will be limited to the pharmacist, the Center Director, and any other person authorized by the Director.

(j) If a prescription is unclaimed by a patient and has not been removed from the facility, the drug should be returned to stock.

(4) Medication Delivery to Clients at Satellites: A Medication Delivery Record shall be filled out in duplicate for all filled prescriptions delivered to locations outside the central center. The record must be signed by the person responsible for delivery and one copy kept by the pharmacist. The duplicate copy must accompany filled prescriptions, be filled out by the person responsible for the care of the prescriptions, and returned to the pharmacist within 60 days of issue with any unused medication.

(5) Mailing Filled Prescriptions:

(a) No scheduled drugs may be mailed.

(b) Other drugs may be sent by regular mail, if necessary, but this should be minimized.

(c) Prescriptions may be mailed for a period of 60 days to clients who are moving to another state, visiting out-of-state relatives, or are on vacation.

(d) The following information shall be recorded and maintained in the pharmacy for filled prescriptions which are mailed:

1. Name and address of patient.

2. Prescription number(s).

3. Date mailed.

4. Initials of person mailing medication.

Author: Division of Mental Retardation, DMH/MR.

Ala. Admin. Code r. 580-2-17-.09

Amended: Filed March 30, 1993.

Statutory Authority:Code of Ala. 1975, § 22-50-11.